What are the common causes of pain in the upper right chest above the breast. How can you distinguish between serious and benign conditions. When should you seek immediate medical attention for chest pain.

Understanding Upper Right Chest Pain: Common Causes and Symptoms

Pain in the upper right chest area above the breast can be alarming, as it may indicate various conditions ranging from minor muscle strains to serious heart or lung problems. Identifying the cause is crucial for proper treatment and peace of mind. This comprehensive guide explores 18 potential causes of upper right chest pain, their symptoms, and when to seek medical help.

Anxiety and Stress-Related Chest Pain

Can anxiety cause chest pain? Yes, severe anxiety or stress can trigger chest pain that mimics heart attack symptoms. During a panic attack, individuals may experience:

• Sharp chest pain
• Difficulty breathing
• Rapid heartbeat or palpitations
• Excessive sweating

These symptoms typically last 5-10 minutes. However, it’s important to note that anxiety-induced chest pain can be difficult to distinguish from heart-related issues. If you’re unsure about the cause of your chest pain, it’s always best to seek medical attention to rule out more serious conditions.

Musculoskeletal Causes of Upper Right Chest Pain

Muscle Strain and Chest Wall Injuries

How common are muscle strains as a cause of chest pain? Research indicates that 28% of emergency room visits for chest pain are due to musculoskeletal issues, including muscle strain. The chest wall consists of various muscles that can be strained or sprained during physical activities or sudden movements. Symptoms of a chest muscle strain include:

• Localized pain and tenderness
• Pain that worsens with movement or deep breathing
• Possible swelling or bruising

Rest and over-the-counter pain relievers like nonsteroidal anti-inflammatory drugs (NSAIDs) usually provide relief for muscle strains. However, persistent or severe pain should be evaluated by a healthcare professional.

Rib Fractures and Chest Trauma

Traumatic injuries to the chest, such as falls, blows, or car accidents, can cause rib fractures or damage to internal organs. Symptoms of a rib fracture include:

• Sharp, localized pain that worsens with breathing or movement
• Swelling and tenderness in the affected area
• Possible difficulty breathing

While a single broken rib usually doesn’t lead to complications, multiple fractures can be life-threatening. It’s crucial to seek emergency medical care following any significant chest injury, as internal organ damage may not be immediately visible.

Inflammatory Conditions Affecting the Chest

Costochondritis: Inflammation of Rib Cartilage

What is costochondritis and how does it cause chest pain? Costochondritis is inflammation of the cartilage connecting the ribs to the breastbone. This condition can cause severe pain that may be mistaken for heart-related issues. Symptoms include:

• Sharp, stabbing pain in the chest area
• Pain that worsens with deep breathing or physical activity
• Tenderness when pressing on the affected area

Costochondritis often resolves on its own with rest, pain relievers, and hot or cold compresses. However, if symptoms persist or worsen, medical evaluation is necessary to rule out other conditions.

Other Inflammatory Conditions

Several other inflammatory conditions can cause chest pain, including:

• Rheumatoid arthritis (RA)
• Spondyloarthritis
• Systemic lupus erythematosus (lupus)

These conditions often require long-term management under the care of a rheumatologist or specialist.

Respiratory Conditions Causing Upper Right Chest Pain

Pneumothorax: Collapsed Lung

What is pneumothorax and why is it a medical emergency? Pneumothorax occurs when air escapes from the lung into the space between the lung and chest wall, potentially leading to lung collapse. This condition causes sudden and severe chest pain along with:

• Shortness of breath
• Rapid heartbeat
• Dizziness

Pneumothorax can be caused by underlying lung conditions, smoking, or trauma. Immediate medical attention is crucial, as a collapsed lung can be life-threatening if not treated promptly.

Pleurisy: Inflammation of Lung Membranes

Pleurisy is inflammation of the membranes surrounding the lungs. This condition causes sharp chest pain that worsens with breathing. Symptoms include:

• Severe, stabbing pain when inhaling or coughing
• Shortness of breath
• Possible fever, depending on the underlying cause

Pleurisy can result from various factors, including infections, autoimmune disorders, or injuries. Treatment depends on the underlying cause, and medical evaluation is necessary for proper diagnosis and management.

Fluid Accumulation in the Chest Cavity

Pleural Effusions: Excess Fluid Around the Lungs

What causes pleural effusions and how do they affect breathing? Pleural effusions occur when excess fluid builds up between the layers of tissue surrounding the lungs. This condition can cause chest pain and breathing difficulties. Common causes include:

• Pneumonia and other infections
• Heart failure
• Certain cancers
• Autoimmune disorders like rheumatoid arthritis or lupus

As pleural effusions can significantly impair lung function, medical evaluation and treatment are essential. Treatment may involve draining the fluid and addressing the underlying cause.

Infectious Causes of Upper Right Chest Pain

Pneumonia: Lung Infection

How does pneumonia cause chest pain? Pneumonia is an infection that inflames the air sacs in one or both lungs. It can cause chest pain, especially when breathing deeply or coughing. Other symptoms include:

• Fever and chills
• Cough with phlegm
• Shortness of breath
• Fatigue

Pneumonia can be caused by various pathogens, including bacteria, viruses, and fungi. Prompt medical treatment is crucial, especially for high-risk individuals such as older adults, young children, and those with weakened immune systems.

When to Seek Immediate Medical Help for Chest Pain

While not all chest pain indicates a serious condition, certain symptoms warrant immediate medical attention. Seek emergency care if you experience:

• Sudden, severe chest pain, especially if it spreads to the arm, jaw, or back
• Chest pain accompanied by shortness of breath, sweating, or nausea
• Chest pain that worsens with physical activity or stress
• Persistent chest pain lasting more than a few minutes
• Chest pain accompanied by dizziness or loss of consciousness

Remember, it’s always better to err on the side of caution when it comes to chest pain. Even if the cause turns out to be benign, prompt evaluation can provide peace of mind and potentially save your life in case of a serious condition.

Diagnostic Approaches for Upper Right Chest Pain

How do doctors diagnose the cause of upper right chest pain? When evaluating chest pain, healthcare providers typically use a combination of methods:

• Medical history and physical examination
• Electrocardiogram (ECG) to assess heart function
• Blood tests to check for indicators of heart damage or inflammation
• Chest X-ray or CT scan to visualize the lungs and chest structures
• Echocardiogram to examine heart structure and function

In some cases, additional tests such as stress tests or coronary angiography may be necessary to rule out heart-related causes. The specific diagnostic approach will depend on the individual’s symptoms, medical history, and initial test results.

Treatment Options for Upper Right Chest Pain

What are the common treatments for chest pain above the right breast? Treatment for upper right chest pain varies widely depending on the underlying cause. Some general approaches include:

• Rest and over-the-counter pain relievers for musculoskeletal causes
• Antibiotics for bacterial infections like pneumonia
• Anti-inflammatory medications for conditions like costochondritis or pleurisy
• Anxiety management techniques and possibly medication for stress-related chest pain
• Drainage procedures for conditions like pleural effusions or pneumothorax
• Specific treatments for underlying chronic conditions (e.g., asthma medications, immunosuppressants for autoimmune disorders)

It’s crucial to work closely with healthcare providers to determine the most appropriate treatment plan based on the specific diagnosis and individual health factors.

Preventive Measures and Lifestyle Modifications

How can you reduce the risk of experiencing upper right chest pain? While not all causes of chest pain are preventable, certain lifestyle modifications can help reduce the risk of some conditions:

• Practice good posture and ergonomics to prevent muscle strain
• Engage in regular, moderate exercise to strengthen chest muscles and improve overall health
• Manage stress through relaxation techniques, mindfulness, or counseling
• Maintain a healthy diet and weight to reduce the risk of heart disease
• Avoid smoking and limit alcohol consumption
• Stay up-to-date with vaccinations, especially for pneumonia and influenza
• Follow safety precautions to prevent traumatic chest injuries

By adopting these healthy habits, you can potentially lower your risk of developing certain conditions that cause chest pain. However, it’s important to remember that some causes of chest pain are not preventable, and any persistent or concerning symptoms should be evaluated by a healthcare professional.

18 causes and when to get help

Right sided chest pain can occur due to many different conditions and injuries. Below, we discuss 18 potential causes.

1. Anxiety or stress

Severe anxiety or stress can trigger an anxiety attack or a panic attack. A person who has previously had a panic attack may develop panic disorder, in which they fear another panic attack.

People who experience panic and anxiety may also have symptoms that resemble those of a heart attack, such as:

• chest pain
• difficulty breathing
• a rapid heart rate or palpitations
• sweating

Some individuals also experience anxiety, stress, and panic because of a health condition, such as heart disease.

A panic attack usually lasts 5–10 minutes.

Anyone who suspects they may have symptoms of a heart attack should seek immediate medical advice.

What is the difference between a panic attack and an anxiety attack?

2. Muscle strain

Many different muscles make up the chest wall. A person can strain or sprain these muscles, for example, during exercise. As a result, the chest will feel painful and tender to the touch.

This type of chest pain usually goes away with rest and over-the-counter (OTC) pain relief medication, such as nonsteroidal anti-inflammatory drugs.

Research shows that 28% of visits to the emergency room for chest pain are due to musculoskeletal issues, such as muscle strain.

What causes a pulled muscle in the chest, and what to do about it?

3. Trauma

A traumatic injury, such as a fall, a blow to the chest, or a motor vehicle accident, can damage the structures that make up the chest, as well as the heart, lungs, and other internal organs.

There may be bruising or swelling, and a person may have difficulty breathing.

It is best to seek emergency help following a chest injury. Damage to the internal organs may not be visible but can be life threatening.

4. Costochondritis and other inflammatory conditions

Costochondritis refers to inflammation of the cartilage that connects the ribs to the breastbone. It can lead to severe pain that may be worse when a person is:

• lying down
• breathing deeply
• putting pressure on the chest
• doing physical activity

Causes include:

• intense coughing
• a traumatic injury to the chest
• physical strain from repeated exercise or lifting heavy items
• respiratory tract infections
• an infection in a chest wound
• wear and tear

Costochondritis usually goes away on its own, but people may need extra rest, pain relievers, and hot or cold compresses to aid recovery.

Other inflammatory conditions that can lead to chest pain include:

• rheumatoid arthritis (RA)
• spondyloarthritis
• systemic lupus erythematosus, or lupus

5. Rib fracture

A rib fracture is a break in the bones that protect the internal organs in the chest.

It can be very painful and lead to serious complications. One broken rib will not usually lead to complications, but multiple fractures can be life threatening.

Rib fractures usually result from a fall or blow to the chest, but severe coughing can also cause a fracture. A break on the right side can cause pain, swelling, and tenderness in that area.

What is flail chest?

6. Pneumothorax

Pneumothorax occurs when air escapes from the lung and gets into the space between the lung and the chest wall. It can lead to a collapsed lung.

This makes it difficult for the lung to expand when breathing and can cause sudden and significant pain or discomfort.

There are many possible causes, including:

• smoking
• conditions such as chronic obstructive pulmonary disease, asthma, and cystic fibrosis
• a biopsy in the lung area
• a blunt or penetrating trauma

Someone with this condition might also experience shortness of breath, a rapid heartbeat, and dizziness. Anyone with these symptoms needs urgent medical attention.

What is a punctured lung?

7. Pleurisy

Pleurisy is inflammation of the membranes that surround the lungs. This inflammation causes friction between these two layers of tissue.

Usually, there is a thin, fluid-filled space between the linings of the lungs and the chest cavity. When breathing in and out, the lungs glide smoothly over this tissue.

In pleurisy, the friction can lead to sharp and severe pain when breathing.

The condition can occur for various reasons, including:

• a traumatic injury
• pneumothorax
• pulmonary embolism
• conditions such as lupus, cancer, or pneumonia

The need for treatment and the prognosis will depend on the cause. A person should seek immediate medical help if they have difficulty breathing or dizziness due to low oxygen levels.

8. Pleural effusions

In pleural effusion, fluid builds up between the layers of tissue outside the lungs. It can cause chest pain and shortness of breath.

Causes include:

• conditions such as pneumonia and tuberculosis
• chronic conditions, such as RA and lupus
• hemothorax
• exposure to asbestos

Breathing may get more difficult over time, so it is essential to seek help from a doctor.

9. Pneumonia

Pneumonia is an infection of the lungs by bacterial, viral, or fungal organisms.

Symptoms include:

• a fever and chills
• a cough
• changes in mental status
• rapid heart rate

Chest pain can occur when a person is breathing and coughing. Individuals with suspected pneumonia should seek prompt medical help. Some people will need to spend time in the hospital, as the condition can result in life threatening complications.

10. Pulmonary hypertension

Pulmonary hypertension is a condition that causes high blood pressure in the blood vessels that connect the heart and lungs. Over time, this makes the heart work harder to pump blood throughout the body.

Symptoms include:

• chest pain
• shortness of breath
• a cough and a hoarse voice
• fatigue
• weakness
• lightheadedness
• nausea and vomiting

What is pulmonary arterial hypertension?

11. Pulmonary embolism

A pulmonary embolism is a blood clot that has become lodged in the lungs. It can be life threatening if a person does not receive treatment quickly.

If it occurs in the right lung, it can cause right sided chest pain.

Additional symptoms include:

• shortness of breath
• rapid breathing
• increased heart rate
• coughing, with or without blood

The pain and other symptoms of a pulmonary embolism usually come on suddenly and require emergency medical attention.

12. Lung cancer

Chest pain can occur with lung cancer and cancer that has spread to the lungs from another part of the body.

Around 20–40% of individuals with lung cancer experience chest pain.

Other symptoms include:

• a cough
• shortness of breath
• spitting up blood
• dyspnea, or difficulty breathing
• fatigue
• weakness
• unexpected weight loss

What is the link between lung cancer and cough?

13. Chest tumors

Growths within the chest or chest wall, whether they are cancerous or not, can also cause chest pain.

Depending on the type of tumor, other symptoms include:

• a lump
• swelling
• the chest appearing or feeling asymmetrical

As the tumor grows, it will put pressure on nearby nerves or blood vessels, causing pain or discomfort.

14. Heart disease

While most people associate left sided chest pain with a heart attack or other heart ailments, right sided pain is also possible, especially if heart disease affects the right side of the heart.

Pain due to a heart condition can affect the right shoulder or jaw as well.

15. Shingles

If a person has had chickenpox in the past, they may develop shingles later. This is because the same virus causes both conditions, and it can reactivate.

Shingles involves inflammation in a section of nerves and the surrounding area. This can lead to sensations of:

• numbness
• tingling
• burning

If shingles affects nerves in the chest, it can cause chest pain. Shingles tends to affect only one side of the body.

Early symptoms include a fever with pain and sensitivity in one area. It will later develop into a painful, itchy rash.

Is shingles contagious? Find out here.

16. Heartburn, or acid reflux

Heartburn, also known as acid reflux, is when stomach acid passes back from the stomach up into the food pipe, or esophagus.

The food pipe is located in the chest, so it can cause general chest pain, including on the right side.

Other symptoms include:

• an unpleasant taste in the mouth
• bloating and nausea
• a cough

Acid reflux is common, affecting around 20% of people in the United States. If it happens often, however, a person should seek medical advice. A doctor can prescribe medication to help manage it.

17. Liver, gallbladder, and pancreatic issues

These structures are important for digestion and other essential functions. They are in the top of the right side of the abdomen.

Gallstones, pancreatitis, and liver disease are just a few conditions that can lead to pain in the right side of the chest.

18. COVID-19

COVID-19 can cause a variety of symptoms, including:

• a fever
• a cough
• shortness of breath

The Centers for Disease Control and Prevention (CDC) advises that if an individual with COVID-19 experiences persistent pain or pressure in their chest, they should seek medical advice at once.

How to know whether chest pain is due to COVID-19? Find out here.

Right sided chest pain can happen for many reasons, and some require urgent care.

Signs that someone needs emergency care include:

• a sudden onset of severe chest pain
• crushing pain
• persistent pain or pressure on the chest
• chest pain with shortness of breath
• pain that radiates to the jaw or shoulder
• chest pain occurring with dizziness or weakness
• change in or loss of consciousness
• other symptoms, such as a high fever or coughing up blood

The outlook for someone having right sided chest pain will depend on the cause.

If pain persists despite treatment, it is important to continue to follow up with a doctor for further diagnosis and treatment.

Chest pain can affect the right-hand side of the body for many reasons.

Some, such as a sprain, are mild and usually go away with OTC pain relief. However, problems with the heart or lungs can also cause right sided chest pain and may have severe consequences.

Anyone with concerns about symptoms should seek medical advice.

Read the article in Spanish.

Causes and When to Be Concerned

Pain in the right upper chest can be caused by injury to the bones, tissues, and muscles. It could also be caused by underlying conditions and mental health issues.

Pain in the right side of your chest can happen for a number of reasons. Most chest discomfort, especially on your right side, is not related to your heart.

Your chest is home to other organs and tissues that may be inflamed or injured, causing you to feel pain. Any aches you feel are most likely due to:

• muscle strain
• infection
• stress and anxiety
• other conditions unrelated to your heart

Keep reading to learn what may be behind your symptoms and when you should speak to your doctor.

Chest pain on the left side is typically associated with a heart attack. If you feel any pain on your right side, it’s most likely not related to your heart.

According to 2019 research, you should seek immediate medical attention if you:

• have unexplained and unexpected severe chest pain
• feel pressure, squeezing, or fullness in your chest
• have severe pain shooting through your arms, back, neck, jaw, or stomach
• break out into a cold sweat
• feel weak, dizzy, or nauseous
• have difficulty breathing

Any of these symptoms could be caused by a serious or life threatening condition, so you should seek urgent care as soon as possible.

If you’re experiencing pain on the right side of your chest, here are a few potential causes.

An anxiety disorder or extreme stress can bring on panic attacks, which can feel very similar to a heart attack, according to the Anxiety and Depression Association of America. Panic attacks can happen out of the blue or be triggered by a traumatic or stressful event in your life.

Symptoms of anxiety and panic attacks can include:

• shortness of breath
• chest pain
• heart palpitations
• nausea
• dizziness
• vertigo
• numbness of hands and feet
• sweating
• trembling
• fainting

Panic attacks can cause chest pain from hyperventilating (breathing rapidly or deeply) since it makes your chest wall muscles go into spasms. Pain resulting from anxiety or stress can occur on either side of the chest.

Because symptoms of a panic attack can mimic those of a heart attack, you should seek immediate medical care to rule out any heart-related issues. Deep breathing exercises can also help stop a panic attack.

Trauma or overuse can cause muscle strain, which is one of the most common causes of pain on either side of your chest.

Muscle strain can happen because of intense upper body activity during sports or overworking your muscles during other intense activities. Muscle pain may also happen gradually as a result of tension or anxiety.

In most cases, resting and taking over-the-counter pain relievers are enough to ease your symptoms.

Chest pain can also happen because of tears to the pectoralis muscle, according to 2021 research. Tears are usually caused by indirect trauma or a direct blow to the chest. Blunt trauma can also result in rib fractures or rib displacement.

Symptoms of a chest injury or rib displacement include:

• chest pain that gets worse with coughing, sneezing, or laughing
• shortness of breath
• bruising
• swelling
• tenderness

If you’re experiencing any of these symptoms, talk with your doctor. They can determine whether your injury will be able to heal on its own or if treatment is necessary.

Heartburn refers to the burning sensation you feel in your chest after eating, bending over, working out, or even lying down at night. It’s usually caused by acid reflux, which happens when your stomach acid comes back up to your esophagus.

In addition to chest pain, you may:

• feel a burning sensation in your throat
• have difficulty swallowing
• feel like food is stuck in the middle of your throat or chest
• have an unexplained acidic, salty, or sour taste in the back of your throat

Indigestion refers to an upset stomach. Although indigestion usually does not cause chest pain, it may happen alongside heartburn.

Symptoms of indigestion include:

• nausea
• early and uncomfortable fullness after eating
• pain, discomfort, and burning in the upper abdomen
• bloating

Here’s how to relieve your heartburn symptoms.

Acid reflux occurs when stomach acid flows back into your food pipe (esophagus).

This can cause:

• heartburn
• stomach pain
• burping
• a sour taste in your mouth

If you’re experiencing acid reflux more than twice a week, you may have developed gastroesophageal reflux (GERD).

In addition to chest pain, symptoms of GERD include:

• heartburn
• sore throat or hoarseness
• a sour taste in your mouth
• a lump-like sensation in your throat
• dry cough
• difficulty swallowing

Although you may be able to find relief with home remedies, you should talk with your doctor for a diagnosis. They may be able to prescribe medication to help treat or prevent symptoms.

Chest pain is one of the main symptoms of costochondritis. This condition happens when your rib cage cartilage becomes inflamed. The pain can be severe or mild. Although the pain is typically felt on the left side of your chest, it may also occur on the right side.

Other symptoms include pain in your back and abdomen and pain that worsens when you cough or take a deep breath.

Chest pain caused by costochondritis may feel similar to a heart attack or other heart-related conditions, so you should seek emergency care. Your doctor can rule out any life threatening conditions.

Gallbladder inflammation (cholecystitis) happens when there’s a bile buildup in your gallbladder.

In most cases, cholecystitis is caused by gallstones blocking the tube that leads out of the organ. Your gallbladder may also become inflamed because of problems with your bile duct or tumors.

Cholecystitis does not cause chest pain, although it may feel like it. If your gallbladder is inflamed, you may feel intense pain in your upper right abdomen that can shoot up to your right shoulder or back.

Other symptoms include:

• nausea
• vomiting
• fever
• sweating
• appetite loss
• tenderness when touching your abdomen

If you’re experiencing any of these symptoms, talk with your doctor for a diagnosis.

Shingles is an infection caused by the varicella-zoster virus, which also causes chickenpox.

Shingles does not cause chest pain on the inside. However, it may feel like you’re having problems with your heart or lungs depending on the location of the viral infection. Shingles can be quite painful on the outside, on the skin.

In addition to a rash, your symptoms may include:

• pain
• burning
• tingling or numbness
• sensitivity to touch
• fluid-filled blisters that crack and crust over
• itching

Although you may be able to find relief with home remedies, you should see your doctor for a diagnosis. They’ll prescribe medication to help clear the infection.

Pleurisy happens when the membrane lining the inner side of your chest cavity and the lining over the lungs, known as the pleura, becomes inflamed. When this inflammation occurs, these linings get rough and rub against each other, causing pain.

This can cause pain on either side of your chest when you breathe in and out. It can also cause pain in your shoulders and back.

Symptoms include:

• chest pain that gets worse with coughing, sneezing, or laughing
• shortness of breath if you’re trying to minimize breathing in and out
• fever or cough if the cause of the pleurisy is a lung infection

If you’re experiencing any of these symptoms, see your doctor for a diagnosis.

Pneumonia is an infection in one or both of your lungs. Pneumonia will make you cough, sometimes with phlegm, which can cause pain on either side of your chest. You may also feel chest pain when you breathe.

Other symptoms of pneumonia include:

• difficulty breathing
• fever
• sweating
• shaking
• chills
• nausea
• vomiting
• diarrhea

Although home remedies can relieve your symptoms, it’s important that you see your doctor for diagnosis and treatment. If the infection itself is left untreated, pneumonia can become fatal.

Sudden onset of shortness of breath is the main symptom of pneumothorax, which is a collapsed lung. However, it could also cause sudden pain, though not all the time. This can happen on either the right or left side of your chest and is usually the result of injury.

It may also result from lung disease, ruptured air blisters, or ventilator use.

Other symptoms include:

• shortness of breath
• tightness in the chest
• rapid heart rate
• cough
• fatigue

If you suspect that you have a collapsed lung, seek emergency medical care.

The two types of cardiac inflammation that can cause chest pain are myocarditis and pericarditis. Myocarditis happens when your heart muscle becomes inflamed. Pericarditis refers to inflammation in the two layers of sac-like tissue (pericardium) that surrounds your heart.

Both conditions are typically caused by a type of infection and can lead to mild to severe chest pain.

Myocarditis and pericarditis share many of the same symptoms. These include:

• fever
• weakness
• difficulty breathing
• coughing
• heart palpitations
• fatigue
• swelling of your legs, ankles, feet, or stomach

With pericarditis, the discomfort in your chest can be so intense that it feels like you’re having a heart attack. If you’re experiencing severe chest pain, seek emergency care to rule out any life threatening causes.

Pulmonary hypertension refers to high blood pressure in the heart-to-lung system. This can cause your heart to work harder, leading you to feel pain throughout your chest.

Other symptoms include:

• shortness of breath during regular activity
• feeling light-headed, especially during physical activity
• fatigue
• racing heartbeat
• pain in the upper right side of the abdomen
• decreased appetite
• fainting
• swelling in the ankles or legs
• bluish lips or skin

If you’re experiencing any of these symptoms, see your doctor for a diagnosis. They can prescribe medication or other therapies to help relieve your symptoms and prevent future complications.

A pulmonary embolism occurs when a blood clot travels from a vein in your leg to your lungs, according to 2021 research. This sudden arterial block prevents blood from flowing to your lung tissue, causing chest pain.

The pain may also spread throughout your arm, jaw, shoulder, and neck.

Pulmonary embolism can be fatal if left untreated, so seek emergency medical care if you’re experiencing these symptoms.

A fractured rib can cause intense chest pain and difficulty breathing. Broken ribs are typically caused by an injury to the chest or severe coughing.

Symptoms of a broken rib include:

• significant chest pain, especially when breathing
• swelling around the broken ribs
• occasional bruising on the surrounding skin
• hearing or feeling a crack

If you’re worried about the pain in the right side of your chest and it’s lasted more than a few days, you should see your doctor. The aches and discomfort may be caused by something mild, like acid reflux, but there’s a chance they’re from something more serious, like pulmonary hypertension.

Once you know what’s going on, you and your doctor can develop a plan to treat your chest pain and its underlying cause. If your chest pain persists after treatment, you should contact your doctor and discuss additional treatment options.

What does right-sided chest pain mean?

Right-sided chest pain could be caused by a variety of medical conditions. You might be experiencing this pain because of:

• an anxiety attack
• a collapsed lung
• costochondritis
• gallbladder problems
• gastroesophageal reflux
• a heart attack
• lung cancer
• musculoskeletal strain or injury
• pericarditis
• pleuritis
• pneumonia
• a pulmonary embolism
• a rib fracture
• shingles

Is right-sided chest pain serious?

Right-sided chest pain may or may not be serious. Sometimes, this pain can signal a heart attack or collapsed lung. Other times, there might be a simple answer, such as gastroesophageal reflux or a muscle strain.

Severe chest pain that comes along with other symptoms should be taken more seriously.

Should I go to the ER for right-sided chest pain?

If you are at risk for a heart attack (you’re older than 55, you smoke, you have high blood pressure), you should go to the ER. You should also go to the ER if you have additional symptoms along with your chest pain, like shortness of breath, nausea, and sweating.

Other cases of chest pain may not need an ER visit. When in doubt, it’s always best to seek medical attention.

What’s located on the right side of your chest?

Your lungs are located on both sides of your chest. A minor portion of your heart is on the right side.

How do you relieve chest pain on the right side?

Pain relief will depend on the cause of your pain. If you’re experiencing a simple muscle strain, ice on the affected area can help. But if something more serious is going on, your doctor will help guide you to find the best treatment.

Right side chest pain while breathing?

If you feel right-sided chest pain while breathing, you may be experiencing pleurisy. According to the National Health Service, pleurisy is a condition that occurs when the tissue between the lungs and ribcage becomes inflamed. The primary symptom is sharp chest pain when you breathe.

Right side chest pain and vomiting?

Right-sided chest pain and vomiting are often caused by acid reflux, according to the National Institute of Diabetes and Digestive and Kidney Diseases. However, when combined with difficulty breathing, pain that radiates into your arm, and sweating, these could be symptoms of a heart attack.

There are multiple culprits that could be behind right-sided chest pain. Pay attention to any accompanying symptoms you may be experiencing. These symptoms can help you get a better idea of what’s going on.

When in doubt, always seek treatment from a medical professional who can help diagnose and treat your pain.

Read this article in Spanish

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Pain in the right side of the chest may indicate serious medical conditions that are not usually related to the heart, but they can also be symptoms of other equally dangerous diseases. If you experience discomfort and pain in the right side of your chest, you should immediately see a doctor to treat this condition.

Causes of right chest pain

Causes of pain in the right side of the chest vary from the effects of excessive physical activity to infections and underlying diseases. Some of the best explained reasons are listed here:

• Viral infection: a viral infection that is responsible for a cold or flu, aching pain in the right chest when inhaling. Chest pain may become more pronounced with deep breathing and coughing.
• Gastritis: Gastritis, or inflammation of the stomach wall, usually occurs after fasting or excessive alcohol consumption and can cause abdominal pain and sharp pains in the right chest.
• Pleural Inflammation: Inflammation of the pleural tissues surrounding the lungs can cause pain in the right side of the chest, and in some cases the pain is aggravated by deep breathing and coughing.
• Gallbladder disease: Gallbladder attacks often present as pain in the right side of the chest due to inflammation of the gallbladder, and this may become more apparent after eating foods high in fat. You may also experience pain if gallstones get stuck in your bile duct.
• Spine and muscles: severe pain in the chest on the right can be provoked by incorrect body position, which lead to compression of muscle groups between the ribs and compression of organs in the chest: this occurs, for example, in the case of scoliosis, herniated disc, spondylosis. Muscular pain in the chest on the right, is defined as chronic, diffuse, fluctuating and migratory, and can also affect the intercostal muscle groups, both on the right and on the left.
• Intercostal neuralgia: In this case, the pain is caused by inflammation of the intercostal nerves. The most easily identified inflammation is cold or, in general, any sudden change in temperature. Dull pain on the right above the chest or the entire chest, restricting movement and squeezing the internal organs.
• Gastrointestinal Disorders: Gastrointestinal disorders associated with the esophagus often result in hardening of the walls, which may present as pain in the right side of the chest.
• Inflammation of the liver and hepatitis: Inflammation of the liver can cause pain on the right under the chest, as well as pain on the right side of the chest. Similarly, it can cause hepatitis, which is a disease that causes swelling and inflammation of the liver. To determine this disease, doctors will need to conduct medical tests to diagnose hepatitis.
• Trauma: Recent trauma, such as a minor shift of a rib, a fracture, or problems with the cervical spine, can be major causes of pain in the right side of the chest.
• Pancreatic dysfunction: Inflammation of the pancreas can lead to swelling of the abdomen, which can radiate chest pain.
• Cardiovascular problems: when there is a stabbing pain in the right side of the chest, the greatest fear is that it may be a sign of cardiovascular diseases, such as a heart attack. Since the center of pain may be on the left, but give to the right side. In assessing the origin of pain behind the chest on the right or left, the time factor is always taken into account. True heart pain is not of a long-term nature, the count goes on for minutes. In other words, the heart cannot “wine, pull, prick” for several hours, days, or day after day.
• Gastroesophageal reflux disease (GERD): is a chronic disease, inflammation of the walls of the lower esophagus, as a result of the movement of gastric or duodenal contents into the esophagus. Irritation of the esophagus may present as chest pain.
• Tumors of the breast: Tumors that develop inside or around the lungs can cause pain on the right side of the chest.
• Side effect of antacids: Chronic use of antacids is associated with pain in the right side of the chest.
• Excessive effort: strenuous activities that require the use of the pectoral muscles can lead to pain in the right side. The pain is likely related to muscle pain and may be exacerbated by specific movements.
• Stress: Stress can aggravate digestive disorders that lead to pain on the right side of the chest. Some key stressors are work, school or family and relationship issues.
• Muscle strain: A strain on the muscles or ligaments of the chest and trauma to the chest can lead to pain in the right side of the chest.
• Food blockage: blockage of the esophagus by food or drink causes congestion that can lead to pain in the right side of the chest.

Complications of right chest pain

Other symptoms may occur as a result of pain in the right side of the chest: burning in the chest and under the chest, acid reflux in the mouth, difficulty swallowing, painful breathing, pain in the chest when changing body position, circulatory disorders in the hands.

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In case of chest pain, in combination with the following symptoms, you should call an ambulance for immediate medical attention: sudden pressure, feeling of oppression and overwhelming weight under the breast; chest pain radiating to the left arm, back, or jaws; after long periods of inactivity in the chest there is a sudden throbbing pain in the right chest, which is accompanied by difficulty in breathing; fast heart rate, dizziness, nausea, rapid breathing, confusion, pallor, and excessive sweating; extremely low heart rate or blood pressure.

In this case, self-treatment is not desirable. Taking painkillers can only muffle the manifestations of pain, but not cure. If you experience any pain in the right side of the chest, you should definitely see a doctor as soon as possible. The Active Center deals with the treatment of pain on the right in the chest in Kyiv arising from a disease of the musculoskeletal system. Scoliosis, intervertebral hernia, muscles, diseases of the cervical and thoracic spine

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Denial of responsibility

This blog is not intended to provide diagnosis, treatment, or medical advice. The content of the blog on the resource active-center.com.ua is for informational purposes only. Please consult a physician or other healthcare professional regarding any medical or health-related diagnosis or treatment options. Self-medication can be hazardous to your health.

My story, which led me to the Active Center, may be familiar to many. I was tormented by chest pain, for a long time they could not find the cause. Tolya did not get to those doctors, or doctors are like that. The age is no longer childish, as I thought it was a problem with the heart. I went to a cardiologist for an appointment, they did a cardiogram, but prescribed medication. But I didn’t feel better from them, although the pain either went away or appeared again, when I breathed in, it pricked my chest. They advised me to visit a neurologist. I found a consultation near the house and I got to the neurologist Holovataya Olga, although she had already finished the appointment, but agreed to see me without an appointment. The sweetest woman, so attentive, very kind and pleasant in conversation. You have no idea how grateful I am to her, and not only for the advice and for the human attitude. It turned out that it was intercostal neuralgia, and not the heart, thanks to competent treatment, the pain no longer bothers. Thank you for helping me.

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Thank you Lyudmila Yakovlevna for your feedback and your kindness. We wish you so much health that you don’t even think about going to the doctors anymore). Best wishes to you.

I had pain in the right chest, I found information about you on the Internet. Pleased with your work. I recommend.

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Thank you for your feedback. Sincerely, Active Center Administrator.

Pain in the right chest in men and women: causes, how to treat

There is probably no person who at least once in his life did not feel that he had a pain in his chest on the right. For some reason, this symptom is not considered to be alarming: many people are guided by the fact that the “motor” of our body – the heart – is on the left, which means that there is no danger to life. Some people completely ignore the problem until the symptoms expand, preferring to relieve the pain syndrome with medications available at home. Experts in the field of medicine categorically disagree with such an irresponsible approach – after all, a sharp severe pain in the chest on the right is often a very alarming signal.

Causes of right chest pain

Our body is designed in such a way that all systems in it are closely interconnected, so unpleasant or painful sensations in one area may indicate problems in a completely different place. For example, if you have pain in the upper right or lower right under the chest, this may indicate problems with the liver, problems with the intestines, and even diseases of the spine. And to identify what specifically provoked the pain, a thorough diagnosis using modern equipment will help.

Diseases of the cardiovascular system

With pain in the chest on the right side, almost every doctor will first of all suspect the presence of cardiac pathologies, especially if the patient is no longer young, and the patient himself leads a sedentary, unhealthy lifestyle and has a history of cardiovascular and endocrine diseases.

Aortic aneurysm

An aneurysm is a weak section of the wall of the main artery in our body. In this place, the wall stretches, protrudes, and at some point it can either burst or tear. This condition is life-threatening, therefore, already at the first suspicion of an aneurysm, the patient will be prescribed an X-ray or MRI, where the pathology will be detected and a decision will be made on the need for surgical treatment.

Angina

If it hurts in the chest at the top right, this may indicate the presence of angina pectoris: it occurs due to impaired blood supply to the myocardium and is often the result of atherosclerosis (plaque formation on the inner walls of blood vessels).

Pericarditis

Pathology causes the accumulation of fluid in the cavity of the heart muscle (pericardium), as a result of which its function is impaired. This condition is most often observed in men, and at a young age – from 20 to 50 years.

Myocardial infarction

Sudden acute pain in the chest on the right, more often in women and less often in men, which does not go away even after taking strong painkillers, indicates a myocardial infarction. This is a deadly condition caused by a violation of the blood supply to the heart muscle.

Diseases of the digestive system

Quite often, the patient’s complaints that he has pain on the right side of the chest can signal problems with the gastrointestinal tract. As a rule, such diseases are accompanied by a number of very characteristic additional symptoms – nausea and vomiting, fever, stool disorder.

Hepatitis

A dangerous disease that affects the liver develops as a result of transfusion of infected blood into the human body (forms B and C), and is also transmitted through dirty hands (form A). A characteristic symptom of hepatitis is not only pain, but also yellowing of the whites of the eyes, associated with an increase in the amount of bilirubin in the blood.

Gastric ulcer

It can appear as a response of the body to the abuse of spicy, fatty and fried foods, as well as alcohol. Often, peptic ulcer disease is preceded by other lesions of the gastrointestinal tract. Pathology is characterized by the formation of perforation in the wall of the stomach, through which its contents enter the abdominal cavity. As a rule, with an ulcer, the patient complains that the pain is most intense on the right (including in the chest) during or after eating.

Pancreatitis

Pancreatitis (inflammation of the pancreas) in our country is not treated very responsibly, believing that it is enough to stop pain symptoms. In fact, such a careless attitude to the disease can lead to a number of more serious problems that will require urgent surgical intervention.

Respiratory diseases

Quite often, when asked why it hurts in the chest on the right, doctors give the most obvious answer: there are problems with the lungs or bronchi. Painful sensations of varying degrees of intensity on the right side of the sternum may indicate pneumonia, tuberculosis, pleurisy, as well as the presence of malignant tumors in the lung cavity or cancerous metastases.

Spinal problems

The back is also often able to “give” under the ribs or into the chest. This occurs if there is an injury, sprain after intense physical exertion, and as the main concomitant symptom of some pathological conditions.

Intercostal neuralgia

This term is understood as compression of the roots of the intercostal nerves. As a result, the latter are irritated and respond with intense pain in the chest on the right or left, often radiating under the shoulder blade.

Herniated disc

This is a musculoskeletal disease in which there is a gradual thinning of the wall of the fibrous ring and, as a result, its rupture.

Scoliosis

The “sore”, which parents and school teachers used to scare us in childhood, is not as harmless as it might seem. Deforming over time, the spine often produces more or less intense pain and a variety of pathologies.

Ankylosing spondylitis

The situation in which it hurts in the back and / or chest on the right is a frequent companion of this pathology, manifested by inflammation of the intervertebral joints. The disease is chronic, limits joint mobility, stops growth, and ultimately leads to disability.

Diagnosis

Diagnosis of any of the above diseases includes a visual examination, palpation, referral for blood and urine tests. Also a neurologist will most likely recommend that you make an appointment for an ultrasound, X-ray or MRI. The results of the studies and the final diagnosis make it possible to prescribe the most adequate treatment.

Treatment

It can be conservative or operative, depending on the diagnosis. Some types of pathologies – for example, hepatitis – require long-term use of antibiotics and the strongest antiviral drugs, others are based on normalizing the diet and maintaining a healthy lifestyle. The specialists of the Energo clinic, who are true professionals in their field, will definitely identify the causes of back and chest pain, select the method that is right for you to solve the problem, and give useful recommendations regarding the recovery period or remission in case of a chronic illness.